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NPI Code Detail

MEDICARE: EILEEN TAYLOR SCHIFRIN PH.D.

MEDICARE: EILEEN TAYLOR SCHIFRIN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY20443CA

General Provider Information

NPI Number : 1326118860
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN TAYLOR SCHIFRIN PH.D.
Provider Business Mailing Address
First Line : 21241 VENTURA BLVD
Second Line : SUITE 262
City : WOODLAND HILLS
State : CA
Zip : 91364-2108
Country : US
Telephone Number : 818-917-5827
Fax Number :
Provider Business Practice Location Address
First Line : 21241 VENTURA BLVD
Second Line : SUITE 262
City : WOODLAND HILLS
State : CA
Zip : 91364-2108
Country : US
Telephone Number : 818-917-5827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 02/22/2015

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